CTICasesPost-Transplant Lymphoproliferative Disorder (Classical Hodgkin Lymphoma)
Imaging findings
In a young double-lung transplant recipient, serial frontal and lateral chest radiographs over several months show progressive filling-in of the right paratracheal stripe and thickening of the posterior wall of the bronchus intermedius, best appreciated on the lateral view. Corresponding CT shows right paratracheal and subcarinal lymphadenopathy accounting for the radiographic filling-in, with associated soft tissue thickening the posterior wall of the bronchus intermedius.
Key takeaways
Biopsy of the new mediastinal/hilar lymphadenopathy in this transplant recipient was presumed to be post-transplant lymphoproliferative disorder but returned classical Hodgkin lymphoma, EBV-negative, illustrating that Hodgkin lymphoma is a recognized manifestation of PTLD; the case also demonstrates how subtle posterior bronchus-intermedius wall thickening on the lateral radiograph can be the earliest clue to developing lymphadenopathy.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Pulmonary Lymphangitic Carcinomatosis from Gastric CancerNeoplastic
- DiGeorge Syndrome with Right Cervical Aortic Arch and Patent Ductus ArteriosusCongenital
- Embolized Catheter Fragment in the Pulmonary ArteryIatrogenic
- Mycotic Pseudoaneurysm from Deep Neck InfectionVascular
- Aortic Root Pseudoaneurysms Complicating EndocarditisVascular
- Angioinvasive Aspergillosis ("Bird's Nest" Sign)Infection
- Aortic Arch Mobile Thrombus with Splenic Infarct and Concurrent DiverticulitisVascular
- Endobronchial Inflammatory Myofibroblastic Tumor Mimicking CarcinoidNeoplastic
See all cases from May 3, 2018 →
Related Neoplastic cases
- Mediastinal Large B-Cell Lymphoma Demonstrating the Hilum Overlay Sign
- Intra-arterial Pulmonary Metastases from Chondrosarcoma
- Esophageal Carcinoma with Paratracheal Nodal Metastases
- Small Cell Carcinoma Mimicking Pneumonia
- Incidental Lung Cancer Detected on Cardiac Calcium Score
- Papillary Fibroelastoma of the Aortic Valve